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Related Experiment Videos

Barriers to implementing the group B streptococcal prevention guidelines.

Vicky Cárdenas1, Robert L Davis, Mary Beth Hasselquist

  • 1Department of Epidemiology at the University of Washington, Seattle, Washington 98195, USA.

Birth (Berkeley, Calif.)
|November 15, 2002
PubMed
Summary
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Group B Streptococcus (GBS) screening compliance was low, especially for teen mothers. Targeted efforts are needed to ensure intrapartum antibiotic prophylaxis for high-risk GBS-positive women.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Infectious Disease Prevention

Background:

  • Group B streptococcal disease is a primary cause of neonatal sepsis in the US.
  • Consensus guidelines exist for perinatal GBS disease prevention.
  • Compliance with these guidelines was assessed in two hospitals.

Purpose of the Study:

  • To identify predictors of non-compliance with GBS screening and prevention guidelines.
  • To analyze factors influencing intrapartum antibiotic prophylaxis (IAP) administration.

Main Methods:

  • Descriptive and cohort analysis of singleton birth pregnancies (Sept 1996-Dec 1997).
  • Examined failure to screen at 35-37 weeks gestation.
  • Studied failure to provide IAP to GBS-positive women.

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Main Results:

  • 28% of 1969 women lacked appropriate GBS screening.
  • Teenage women were less likely to be screened.
  • Short hospital stay and low-risk status predicted lack of IAP for GBS-positive women.

Conclusions:

  • Screening interventions should target teenage pregnant women.
  • IAP delivery should be prioritized for low-risk GBS-positive women with precipitous labor.